A healthcare professional in an emergency unit is reviewing the medical record of a client who is being evaluated for angle-closure glaucoma. Which of the following findings are indicative of this condition?

Correct Answer: C

Rationale: Severe pain around the eyes that radiates over the face is a classic symptom of acute angle-closure glaucoma. This intense pain is often associated with other symptoms such as blurred vision, halos around lights, redness in the eye, and sometimes nausea and vomiting. Immediate medical attention is required to prevent permanent vision loss.

Correct Answer: B

Rationale: When a client is prescribed an inhaled beta2-agonist (such as albuterol) and an inhaled glucocorticoid (such as beclomethasone) for asthma control, the beta2-agonist should be administered first. Administering the beta2-agonist before the glucocorticoid helps promote bronchodilation and enhances the absorption of the glucocorticoid, maximizing its effectiveness in the lungs.

Correct Answer: B

Rationale: In this scenario, the correct answer is B) Expect this medication to smell like rotten eggs. Acetylcysteine is a medication commonly used to help break down and thin mucus in individuals with conditions such as cystic fibrosis. The characteristic rotten egg smell of acetylcysteine is due to its sulfur content. This information is crucial for the nurse to include in the instructions to prepare the child and caregivers for the unique odor of the medication. Option A) Expect this medication to suppress your cough is incorrect because acetylcysteine is not typically used as a cough suppressant. It works by thinning mucus to make it easier to clear from the airways. Option C) Expect this medication to cause euphoria is incorrect as acetylcysteine is not known to cause euphoria. It is primarily used for its mucolytic properties. Option D) Expect this medication to turn your urine orange is incorrect as this side effect is commonly associated with medications like rifampin, not acetylcysteine. In an educational context, understanding the unique characteristics and side effects of medications is essential for safe and effective patient care. Nurses must be able to provide accurate information to patients and their families to ensure proper medication administration and management of potential side effects. This question reinforces the importance of medication education and the need for clear communication between healthcare providers and patients.

Correct Answer: A

Rationale: In this scenario, the correct answer is A) Asthma. Propranolol is a non-selective beta-blocker that can lead to bronchoconstriction, making it unsuitable for patients with asthma. When considering pharmacological treatment for hypertension, it is crucial to assess for contraindications to ensure patient safety and effectiveness of the therapy. Option B) Glaucoma is not a contraindication for using Propranolol in hypertension treatment. In fact, Propranolol can be beneficial for patients with glaucoma as it reduces intraocular pressure. Option C) Hypertension is the condition being treated, so it is not a contraindication for using Propranolol. In fact, Propranolol is commonly used to manage hypertension. Option D) Tachycardia is not a contraindication for using Propranolol in hypertension treatment. Propranolol's mechanism of action includes reducing heart rate and myocardial contractility, making it effective in managing tachycardia. Educationally, this question highlights the importance of considering individual patient characteristics and comorbidities when selecting pharmacological treatments. It emphasizes the need for healthcare providers to have a thorough understanding of drug actions, contraindications, and potential adverse effects to make informed decisions in clinical practice.

Correct Answer: B

Rationale: Verapamil, a calcium-channel blocker, can increase digoxin levels, leading to Digoxin toxicity. When these medications are used together, the client is at an increased risk. The healthcare professional should consider adjusting the digoxin dosage and closely monitor the client's digoxin levels to prevent toxicity.